Michael a Blamires DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

361602-9922 Issued in UT

Legal business name

MICHAEL A BLAMIRES DDS, INC

Doing business as

Canyon Ridge Dental

Practice address

1770 Combe Rd Ste 3
Ogden, UT 84403-5067

Phone

(801) 621-8440

Fax

(801) 627-9063

NPI assigned

Apr 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Allan Blamires, D.D.S.NPI 1912068750

Title

President

Phone

(801) 710-3536

Specialties & licenses 1

Addresses

Other names 1

• Canyon Ridge Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Allan Blamires, D.D.S.

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1912068750
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1407243579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 COMBE RD STE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035067",
            "telephone_number": "801-621-8440",
            "fax_number": "801-627-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 COMBE RD STE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035067",
            "telephone_number": "801-621-8440",
            "fax_number": "801-627-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A BLAMIRES DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "BLAMIRES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-710-3536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "361602-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Kasch Meyer, LCSW
• Jaycee Meyers
• Jeanette Meyers
• Tamara Emilie Meyers, PA-C
• Mibospi
• Michael E. Florence DMD LLC
• Michael L. Crowton DDS
• Michael M Judkins and Associates, Inc.
• Michael Woolman MD PLLC
• Richard Goodman Michaelson, MSW

• Dental Clinic/Center in Ogden, UT
• Providers in Ogden, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.